Labor analgesia for the parturient with prior spinal surgery: What does an obstetrician need to know?

被引：5
作者：
Kuczkowski K.M. [1 ]
机构：
[1] Department of Anesthesiology, UCSD Medical Center, San Diego, CA 92103-8770
来源：
Archives of Gynecology and Obstetrics | 2006年 / 274卷 / 6期
关键词：
Caudal scoliosis; Epidural; Harrington rod; Labor analgesia; Obstetric anesthesia; Pregnancy; Spinal surgery;
D O I：
10.1007/s00404-006-0137-z
中图分类号：
学科分类号：
摘要：
Administration of lumbar epidural analgesia in a parturient with previous spinal surgery presents a unique challenge to the anesthesiologist. These challenges (difficulties) range from inability to identify the epidural space, multiple attempts before catheter insertion, vascular trauma, and/or subdural local anesthetic injection to accidental dural puncture. The literature documenting management of labor analgesia in pregnant women with prior spinal surgery is limited to a handful of case reports. This author is not aware of any other review articles in English literature discussing special considerations for labor analgesia in parturients presenting with history of prior spinal instrumentation. © Springer-Verlag 2006.
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页码：373 / 375
页数：2
相关论文
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